Registration for 4 Hours Behind The Wheel

Please fill in and submit the form below to register for 4 Hours Behind The Wheel.
When you submit the form, you will be forwarded to the payment page.

legal name

IMPORTANT - Please use your full legal name (no nicknames). Your name will appear on your certificate as it is entered here.

First name

Middle Name

Last name

contact information

Address

City

State

ZIP

Daytime phone

Evening phone

Cell phone

Personal information

SSN

DL permit number

Birthday

Gender

Male Female

How did you hear about us?

School Information

Are you a student?

School

Grade

Student ID

Student ID

Student information

Email

Retype email

Create password

Retype password

Guardian information

Name

Email

Relationship

Phone

Promotional code

Promo code

Terms & Conditions

We follow a strict no refunds policy: I agree that there are no refunds or exchanges after purchases have been made. All sales are final, please don't ask - NO EXCEPTIONS! www.newportdrivingschool.com

To ensure quality driving education and proper Behind the Wheel training Newport Driving School requires all students to complete their Driver education within three months and their behind the wheel training within 6
months from the date of payment. No credit or refunds will be issued at any time. To help encourage timeliness in completion of these courses, there will be a $ 45.00 dollar reinstatement fee if they do not complete the class
and driving within a Six (6) or three (3) month period. Also after one year past the payment date all unused credit will be void and no fee can be paid to reinstate the courses. NO EXCEPTIONS!!